Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 04350 | Date 04/05/2021 |
| Token No | SM/21-22/372 08/06/2021 | Serial | 002 |
| Patient Name | Mrs. ANNU KUMARI SINGH | Contact No | 9330094486 |
| Address | R B SARANI | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||